| Personal Information: |
Family Name
(as it appears on your passport) |
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First Name
(as it appears on your passport) |
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Middle Name
(as it appears on your passport) |
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Family Name
(in Japanese katakana) |
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First Name
(in Japanese katakana) |
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Middle Name
(in Japanese katakana) |
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| Nationality |
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| Gender |
Male
Female |
| Date of
birth |
e.g. 1996/01/25
(yyyy/mm/dd) |
| Country of
your home institution |
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| Home institution |
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| Study level |
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| Year-level |
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| Expected date of
graduation |
e.g. 2021/05/15
(yyyy/mm/dd) |
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Faculty/Department/Graduate School |
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| Major (and Minor
if any) |
|
| Address: |
| Mailing address |
Postal code
Address
Phone
[e.g. (+81) 3-5427-1798]
Please be sure to include the country code, (+XX).
|
Education:
Name of Institution, Major, Location, Period (yyyy/mm-yyyy/mm), Degree Earned
[e.g. Keio University, Law, Tokyo JAPAN, 2000/09-2004/06, B.A.] |
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Academic history going back until high school |
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Previous enrollment at Keio:
Student ID Number, Name of Faculty/Graduate School, Period (yyyy/mm - yyyy/mm) |
Have you ever been enrolled in Keio as a non-degree student?
(e.g., for credit, not for credit and/or research student) |
Yes
No |
If yes, please give us the details.
[e.g. Student ID Number, Faculty of Law, 2000/09-2001/06] |
|
Employment:
Name of Organization, Location, Type of Work, Period (yyyy/mm-yyyy/mm)
[e.g. XXX Law Firm, Tokyo JAPAN, Paralegal, 2000/09-2004/06] |
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Most recent employment record |
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| Contact information: |
| Telephone number |
[e.g. (+81) 3-5427-1798]
Please be sure to include the country code, (+XX).
|
| E-mail address |
[e.g.
taro_keio@keio.ac.jp]
Note: Screening results and further instructions will be sent to this e-mail address. Please be sure to register the e-mail address that you use/check regularly.
|
| Confirm e-mail address |
[e.g.
taro_keio@keio.ac.jp] |
Courses:
Please indicate below for which class you would like to apply.
|
| Deep Culture Difference: Understanding Japan.. |
49282 Deep Culture Difference: Understanding Japan..(Prof. Joseph Shaules)
|
| Cultural Presuppositions in Japanese Communication |
98369 Cultural Presuppositions in Japanese Communication (Dr. Rie Suzuki)
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| Japanese Linguistics in Sociocultural Context |
89368 Japanese Linguistics in Sociocultural Context (Dr. Ikuko Okugawa)
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| Otaku Culture in Japan and its Transnational Relation |
92485 Otaku Culture in Japan and Its Transnational Relation (Prof. Kazunori Sugiura)
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| Others: |
| How did you find out about this program? |
Professors
Friends/acquaintances
Relatives
Home University
Study Abroad Fairs [e.g. EJE]
Website [e.g. Keio University's website]
SNS (Please specify.) [e.g. Facebook, Instagram, etc.]
Others (Please specify.):
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I certify that the information given in this application is complete and accurate to the best of my knowledge,
and if accepted, I agree to comply with the rules and regulations of Keio University.
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| A copy of an official transcript |
*Click the button above and upload your transcript
in PDF format.
*If issued in a language other than English, please also upload an English translation. |
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*An English translation of the transcript
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*Click the button above and upload an
English translation of the transcript in PDF format.
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Statement of Purpose
(*less than 250 words) |
*Explain why you would like to participate in this program and what you would like to achieve from it.
*Click the button above and upload your statement of purpose in PDF format
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| A copy of your passport (the page including your photo) |
*Click the button above and upload a
copy of your passport in PDF format
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| Your photo |
*Click the button above and upload
your photo in JPEG format
*taken within the last 3 months, 3cm x 4cm, color, glossy
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